Pre-Existing Medical Conditions May Be Covered But The Drugs to Treat Them May Not Be

One of the few attractions of Obama’s socialized medicine program was the requirement that all pre-existing conditions had to be covered. In all of the lying and hype to stupid Americans, they wanted us to believe that not only were our pre-existing conditions going to be covered but so were all of the medicines necessary to treat them. Furthermore they told us that it would be at an affordable price.

Prior to Obamacare being forced upon us, I was uninsurable due to be obesity, type 2 diabetes coupled with my age of over 60. After Obamacare went into effect, I could finally purchase individual insurance, but for my wife and I, the cheapest plan we could find that would cover my pre-existing conditions would cost us $816 per month. Oh yeah, it had a $4,000 deductible and then it only paid for 60% of covered items.

I am fortunate however in that I do not have a medical condition that requires a lot of expensive medication. A number of people with those types of conditions discovered that in 2014, some of their medications were no longer being covered by their insurance plans because of the costs. That left people with the alternative of not paying their bills or mortgage and not eating in order to afford their life saving medications or they just go without and die early. That’s one reason I often refer to Obamacare as the medical program for early death.

One of the companies involved with providing covered prescriptions is Express Scripts Holding Co. or ESRX). They oversee the prescription plans used by many insurance companies that in turn provide service to individuals and employers. They cover nearly 85 million patients.

In 2014, ESRX had placed 48 brand-name drugs on their exclusion list due to the cost of the drugs. For 2015, they have increased the number of excluded drugs to 66. Among the drugs no longer covered is Simponi, a popular drug used to treat rheumatoid arthritis, which can be an extremely painful and debilitating disease. The reason they no longer cover Simponi is that it costs around $3,000 per month.